(C.P.

22-Pin 1/2003)
PEMBERITAHUAN PEKERJA BARU
NOTIFICATION OF NEW EMPLOYEE
(SEKSYEN 83(2) AKTA CUKAI PENDAPATAN 1967)
(SECTION 83(2) INCOME TAX ACT 1967)
Borang Ini Hendaklah Dikembalikan Kepada Mana-Mana Cawangan Lembaga Hasil Dalam Negeri Malaysia Di Mana Pekerja
Menjalankan Pekerjaan
This Form Is To Be Sent To Any Inland Revenue Board Malaysia Branches
No. Rujukan Fail Where
MajikanThe Employee Is Exercising The Employment
Employer’s File Reference
No.

No. Telefon Majikan

Employer’s Telephone No.

Daripada From -
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.........................................................................................................................
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Kepada To -
Lembaga Hasil Dalam Negeri Malaysia
Inland Revenue Board Malaysia
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BUTIR-BUTIR PEKERJA BARU / PARTICULARS OF NEW EMPLOYEE

Nama Penuh No. Fail Cukai Pendapatan

Full Name Income Tax File No.
-
Jenis Pekerjaan
Nature of No. Kad Pengenalan / No. Pasport
Employment Identity Card No / Passport No.

Tarikh Permulaan Pekerjaan Sekarang

Date of Commencement of Present
No. Imigresen Immigration No.
Employment

Tempoh Pekerjaan Yang Dijangkakan

Tarikh Lahir Taraf Perkahwinan
Expected Duration of Employment
Date of Birth Marital
Alamat Kediaman Sekarang
Present Residential Address Status
Bilangan anak-anak di bawah umur 18 tahun
No. of children under 18 years of age

Bagi perempuan yang berkahwin, nyatakan -

Alamat Surat-Menyurat Sekarang
If a married woman, state –
Present Correspondence Address
(a) Nama Penuh Suami Full Name of Husband

(b) No. Kad Pengenalan Suami

Husband’s Identity Card No.

(c) No. Fail Cukai Pendapatan Suami

Husband’s Income Tax File No.
-

TERMA-TERMA PENGGAJIAN / TERMS OF EMPLOYMENT

(a) Kadar Saraan Tetap Sebulan Monthly Rate of Fixed Remuneration RM

(b) Kadar elaun tunai seperti elaun sara hidup atau elaun tetap yang lain dan kadar elaun berupa barangan seperti rumah kediaman,
pakaian, dsb.
Monthly rate of cash allowances e.g. cost of living or other fixed allowances and rate of allowances-in-kind e.g. residence, food,
clothing, etc.

(c) Emolumen tidak tetap yang beliau berhak (nyatakan perihalnya) dan tarikh jumlah bayaran akan diketahui
Fluctuating emoluments to which he may become entitled (state the details) and the date when the amount will be known

Nama dan alamat majikan yang dahulu di Malaysia

Name and address of previous employer in Malaysia
 Tandatangan Majikan Employer’s Signature…………………………….
Tarikh Date………………………………………… Nama Name……………………………………………………………………
Jawatan Designation……………………………………..………………….